critical“medicines were given covertly (without the person knowing) but we were not assured that this had been approved as being safe by a GP or Pharmacist.”
staffing levels
1 finding
critical“if they are sick or leave, I will really struggle as I wouldn't have anyone available to use at short notice - this would put a lot of pressure on me and become unmanageable.”
staff training
1 finding
critical“training had been marked as not applicable in relation to learning disabilities, managing challenging behaviour and emergency first aid.”
governance
1 finding
critical“There was not a structured system in place to review service delivery and ensure high quality care was provided. There was not a programme of regular audit.”
care planning
1 finding
moderate“care and support plans lacked detail about how the person was to be supported increasing the risk that they may not receive high quality person-centred care.”
record keeping
1 finding
moderate“information about a person's capacity to consent to aspects of their care was not clearly recorded in their care records.”
consent capacity
1 finding
moderate“The provider's training did not include the Mental Capacity Act 2005. We had concerns that staff would not have the required skills and knowledge.”
staff competency
1 finding
critical“we did not see evidence of other recruitment practices... upon asking to see evidence of these checks this was not provided to us.”